| NPI | 1811236086 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP123955) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: TX 663740) |
| Enumeration Date | 2013-02-07 |
| Last Update Date | 2024-06-04 |